Mytwogirlsrox Posted September 14, 2012 Report Share Posted September 14, 2012 I'm only POTsy in the morning now. Usually right when I get out of bed my HR jumps to 115 ... Then for the rest of the day, Im below 100 bpm standing..anyone else? It gets slower through out the day too.. Sooo weird!!! Quote Link to comment Share on other sites More sharing options...
MomtoGiuliana Posted September 14, 2012 Report Share Posted September 14, 2012 I tend to be worse in the AM, I think this is true of many w POTS. Definitely there are days where I can feel badly in the AM and pretty good in the evening.My specialist, when I was first diagnosed, acknowledged that symptoms would likely be most severe in the AM. He recommended drinking a couple glasses of fluid along w salt as soon as I wake. I think one reason we are worse in the AM is that we are dehydrated after 8 +/- hours of lying down and not drinking anything. Quote Link to comment Share on other sites More sharing options...
HopeSprings Posted September 14, 2012 Report Share Posted September 14, 2012 I see the highest heartrates getting out of bed in the morning - numbers I rarely see later in the day. Pretty POTSY through the morning, but HR does seem to get lower in the afternoon and is lowest at night. I crash hard in the afternoon with exhaustion though - so that morning adrenaline (as uncomfortable as it is) allows me to get some things done. Do you have low blood pressure during the night and waking up? I think this is part of my issue - my body trying to get BP up so I can function. Also, I think laying down all night does something with the pooling - it feels like it's all my chest and stomach when I'm laying down and then drops to my lower abdominal area and to my feet when I get up - so I think the tachycardia is compensatory. This is all theory and observation - I can't prove any of it! Momtoguilana's explanation about dehydration is logical - I was given the same info and advice by one POTS Dr. and it especially makes sense because I dump fluids like crazy at night (frequent nighttime urination). Anyone else? Yes, the whole thing is just weird! Quote Link to comment Share on other sites More sharing options...
Mytwogirlsrox Posted September 14, 2012 Author Report Share Posted September 14, 2012 Interesting! I know we have diurnal variation. However, I'm dont have the 30 Bpm increase unless it's after spin class or getting out of bed in the am. It's so weird. I don't diurese at night, so it must be something like vagal withdrawal in the am? Does anyone know what normal is? Like what does a normal persons heart do right out of bed? I've never seen a comparison study Quote Link to comment Share on other sites More sharing options...
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